Acne Rosacea is a chronic skin condition that affects the face, characterized by redness (erythema), papules, pustules, and visible blood vessels (telangiectasia). Sebum secretion remains normal, unlike acne vulgaris.
Mnemonic: "ROSACEA = Red On Skin And Chronic Erythema
Always"
CAUSES & RISK FACTORS OF ACNE
ROSACEA
- Unknown Exact Cause (Idiopathic).
- Triggers: Hot & Spicy Food, Alcohol, Sun Exposure, Stress.
- Demodex Mites (Skin Parasites).
- Middle-Aged Adults (More Common in 30-50 Years).
- Fair-Skinned Individuals (More Prone).
Mnemonic: "T.R.I.G.G.E.R." (Triggers, Rosacea, Infection
(Demodex), Genetic, Gut Issues, Emotions, Red Face)
TYPES OF ROSACEA
- Erythematotelangiectatic Rosacea (ETR) → Redness & Visible Blood Vessels.
- Papulopustular Rosacea (PPR) → Red Papules & Pustules (Like Acne).
- Phymatous Rosacea → Thickened Skin & Enlarged Nose (Rhinophyma)
- Ocular Rosacea → Affects Eyes – Redness, Dryness, Irritation.
Mnemonic: "E.P.P.O." (Erythema, Papules, Phymatous, Ocular)
SYMPTOMS OF ACNE ROSACEA
- Intermittent Flushing (Blushing Episodes).
- Persistent Redness (Erythema – Especially on Cheeks, Nose, Forehead).
- Telangiectasia (Small, Visible Blood Vessels).
- Dome-Shaped Papules & Pustules (Without Comedones, Unlike Acne Vulgaris).
- Thickened Skin Over Nose (Rhinophyma – More in Males).
- Eye Symptoms (Dryness, Blepharitis, Conjunctivitis – In Ocular Rosacea).
Mnemonic: "F.R.A.P.T.O." (Flushing, Redness, Acne-like,
Phymatous, Telangiectasia, Ocular Issues)
DIFFERENTIAL DIAGNOSIS
(CONDITIONS SIMILAR TO ROSACEA)
- Acne Vulgaris (Has Comedones – Rosacea Doesn’t).
- Seborrheic Dermatitis (Flaky, Itchy Skin – Rosacea is Smooth).
- Lupus Erythematosus (Butterfly Rash – No Pustules in Lupus).
- Photosensitivity Reactions (Similar Redness But Only After Sun Exposure).
Mnemonic: "A.S.L.P." (Acne, Seborrhea, Lupus,
Photosensitivity)
DIAGNOSIS OF ACNE ROSACEA
- Clinical Examination (Main Diagnosis – Based on Symptoms).
- Rule Out Other Conditions (Lupus, Acne, Seborrhea).
Mnemonic: "C.R.O." (Clinical Exam, Rule Out Others)
TREATMENT OF ACNE ROSACEA
1. LIFESTYLE & SKIN CARE
- Avoid Triggers (Spicy Food, Alcohol, Sun, Stress).
- Use Sunscreen (SPF 30+).
- Mild Cleansers & Moisturizers (Avoid Harsh Soaps).
Mnemonic: "A.S.C." (Avoid Triggers, Sunscreen, Cleansers)
2. MEDICAL TREATMENT
- Antibiotics (Oral Oxytetracycline, Doxycycline – For Pustular Rosacea).
- Topical Metronidazole (Reduces Redness & Inflammation).
- Azelaic Acid (Helps Reduce Papules & Pustules).
- Ivermectin (For Demodex Mites).
- Laser Therapy (For Telangiectasia & Persistent Redness).
Mnemonic: "O.M.A.I.L." (Oral Antibiotics, Metronidazole,
Azelaic Acid, Ivermectin, Laser)
HOMOEOPATHIC MANAGEMENT OF ACNE
ROSACEA
For Red, Inflamed Skin & Flushing:
-Belladonna, Sulphur, Lachesis, Carbo Veg.
For Pustular Rosacea (Acne-like Lesions):
-Hepar Sulph, Silicea, Kali Bich, Merc Sol.
For Rhinophyma (Thickened Skin on Nose):
-Thuja, Calcarea Carb, Aurum Met.
For Ocular Rosacea (Eye Involvement):
-Euphrasia, Pulsatilla, Argentum Nitricum.
Mnemonic: "B.S.L.H. – Belladonna, Sulphur, Lachesis, Hepar
Sulph" (Main Remedies)
FINAL REVISION WITH MNEMONICS
- Definition = "ROSACEA = Red On Skin And Chronic Erythema Always"
- Causes = "T.R.I.G.G.E.R." (Triggers, Rosacea, Infection (Demodex), Genetic, Gut Issues, Emotions, Red Face)
- Types = "E.P.P.O." (Erythema, Papules, Phymatous, Ocular)
- Symptoms = "F.R.A.P.T.O." (Flushing, Redness, Acne-like, Phymatous, Telangiectasia, Ocular Issues)
- Differential Diagnosis = "A.S.L.P." (Acne, Seborrhea, Lupus, Photosensitivity)
- Diagnosis = "C.R.O." (Clinical Exam, Rule Out Others)
- Treatment = "A.S.C." (Avoid Triggers, Sunscreen, Cleansers) & "O.M.A.I.L." (Oral Antibiotics, Metronidazole, Azelaic Acid, Ivermectin, Laser)
- Homeopathic Remedies = "B.S.L.H." (Belladonna, Sulphur, Lachesis, Hepar Sulph)
